Organization · Type 2 NPI

Surgivue First Assisting

Nurse Practitioner · Jonesboro, GA

NPI number 1821472077 Active

Practice location

5865 Sinclair Way
Jonesboro, GA 30238

Fax (770) 985-4258

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN183039 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821472077

Surgivue First Assisting's National Provider Identifier is 1821472077, issued on Jul 17, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jonesboro, GA. The record was last updated on Jul 17, 2015.